NEW APRIL 19-21, 2018 - PRE-COURSES: APRIL 17-18 - American College ...
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Attend Internal Medicine Meeting 2018 My Fellow Colleagues, Gumbo is the official cuisine of the state of Louisiana, tracing its roots back to the 1800s when the culinary practices of the French, Spanish, native tribes, and African slaves combined to form a hearty dish using all readily available ingredients. Gumbo is thought to be based on cuisines found in West Africa or derived from the French bouillabaisse. The name “gumbo” probably derives from the Bantu word for okra, which is commonly used as a thickener in preparing the dish. Like a good pot of gumbo, Internal Medicine Meeting 2018 in New Orleans will nourish the intellectual spirit of all attendees. The “pot” for this year’s gumbo is the Ernest N. Morial Convention Center in downtown New Orleans, a perfect setting providing adequate space on the majestic Mississippi River. The first essential step in making a good gumbo is to create the perfect roux, a mixture of flour, butter, and water that forms the backbone of the dish. The roux of the meeting are the diverse faculty who make up the meeting. The next step in making gumbo is to create the holy trinity, a mixture of celery, bell peppers, and onions. For Internal Medicine Meeting 2018, this represents Meet the Professor, Clinical Triad, and Update sessions. Next, gumbo needs a thickener like sassafras filé or okra to hold the dish together. For Internal Medicine Meeting 2018, this would be sessions on health care policy, health care finance, and health care reform. In Louisiana, we use the term lagniappe to refer to something extra, like adding Andouille sausage or shrimp to gumbo. For Internal Medicine Meeting 2018, this is the clinical skills station available throughout the meeting. Finally, a good gumbo is allowed to simmer all day. Like a good gumbo, attendees will enjoy the opportunity to meet, interact, and network each day of the meeting. I welcome you to New Orleans, a truly unique city of celebration and culture. As we say, “New Orleans, je t’aime.” Marc J. Kahn, MD, MBA, MACP Chair, Internal Medicine Meeting 2018 Scientific Program Committee Keynote Speaker Karen DeSalvo, MD, MPH, MSc, FACP Former Acting Assistant Secretary for Health & National Coordinator for Health IT at the U.S. Department of Health and Human Services (HHS) Dr. DeSalvo led core public health offices and oversaw development of health policy recommendations, including Public Health 3.0, a defining of the future of public health. Dr. DeSalvo also served as the National Coordinator for Health Information Technology concurrently for nearly 2 years from January 2014 to August 2016. She focused national attention on moving beyond adoption of electronic health records to focus on data liquidity and interoperability to support innovation and consumer health goals. Under Dr. DeSalvo’s leadership as Delivery System Reform strategy co-lead, HHS set and met historic goals in payment reform and supported transformed models of care delivery. Dr. DeSalvo was previously Health Commissioner for the City of New Orleans. While there, she transformed the outmoded health department to one that achieved national accreditation and recognition, restored health care to devastated areas of the city, and led the establishment of a public hospital. She was professor of medicine and vice dean for community affairs and health policy at Tulane University School of Medicine. She earned her MD and MPH from Tulane University and an MSc in clinical epidemiology from the Harvard School of Public Health. annualmeeting.acponline.org
Experience New Orleans ew Orleans is the most celebrated N city in the American South, the largest in the state of Louisiana, and the state’s #1 tourist and vacation destination. A unique blend of Creole food, rich history, and great blues and jazz music make New Orleans the vibrant city that it is! One of the oldest cities in the U.S., New Orleans is treasured by residents and visitors alike. The city invites everyone to enjoy its lively French Quarter, Uptown, Garden District, mysterious bayous, gracious plantations, spicy Creole cuisine, and traditional jazz clubs. St. Louis Cathedral in the French Quarter Table of Contents Pre-Courses ..................................................................2 Special Events ............................................................38 CME Credit and MOC Points ...................................11 Exhibit Hall and Additional Learning Opportunities ...........................................................40 Scientific Program Sessions .....................................12 Guest Activities Program ..........................................42 Hospital Medicine Track ...........................................21 Advance Registration Information...........................43 Schedule Planner ......................................................22 Travel Information......................................................45 Fulfill State CME Requirements ...............................31 Lodging Information .................................................48 Herbert S. Waxman Clinical Skills Center ...............................................................33 Registration Forms ....................................................49 Clinical Skills Workshops..........................................37 Shuttle Bus Schedule ................................................52 annualmeeting.acponline.org | 1
Pre-Courses (April 17-18) Tuesday diagnosis and management in the primary care PRE 1801 Dermatology for the Internist 2018 setting. Practical approaches, including biopsy techniques, will be reviewed. PRE 1802 Diabetes for the Internist 2018 PRE 1803 Perioperative Medicine 2018 Learning Objectives: Wednesday 1. Identify common dermatologic problems PRE 1804 Advances in Therapy that present in the primary care setting, and PRE 1805 Cardiology for the Internist 2018: The Key Points initiate appropriate treatment. PRE 1806 Hospital Medicine: From Admission to Discharge 2. Understand and develop treatment strate- PRE 1807 Neurology for the Internist gies for patients with acne and rosacea. MACRA, MIPS, and APMs: Strategies for Success within the PRE 1808 Quality Payment Program 3. Identify and develop management ap- proaches for both common and complicated QI Champion Training: Transforming Your Practice to Improve PRE 1809 Patient Outcomes, Increase Efficiency, Maximize Reimbursement, dermatoses, such as psoriasis. and Increase Joy in Practice 4. Recognize common skin cancers and under- Boost Your Well-being and Professional Satisfaction at Home PRE 1813 stand indications for various approaches to and Work: Practical Skills for Positive Results management. SAFE Opioid Prescribing: PRE 1814 Strategies.Assessment.Fundamentals.Education. Tuesday and Wednesday Diabetes for the Internist PRE 1810 Critical Care Medicine 2018 PRE 1802 Tuesday, 8:00 a.m.–5:00 p.m. PRE 1811 Update in General Internal Medicine and MOC Exam Prep Tracy L. Setji, MD, MHS, Member PRE 1812 Point-of-Care Ultrasound for Internists and Hospitalists Assistant Professor of Medicine, Medical Director, Inpatient Endocrinology Consultation, Department of Pre-Course Syllabi Medicine, Division of Endocrinology, Duke University, Pre-Course registrants will be able to download a full-color Durham, NC PDF version of the course syllabus in advance of the meet- ing. A black-and-white print copy of the syllabus will be The management of patients with diabetes can distributed to Pre-Course registrants on site. be complicated. Many new medications, tech- nologies, and surgical options for the appropri- ate patient are available. This Pre-Course will Dermatology for the Internist discuss the diagnosis and management of dia- PRE 1801 Tuesday, 8:00 a.m.–5:00 p.m. betes in different clinical settings, including is- Elizabeth Magill Billingsley, MD sues related to nutrition, exercise, and risk Professor of Dermatology, Director, Mohs Micrographic factor modification. The appropriate indications Surgery, Department of Dermatology, Penn State Hershey and practical utilization of weight loss medica- Medical Center, Hershey, PA tions in overweight/obese patients will be dis- Patients often present to their internist with skin cussed. New therapies for the management of concerns. Many of these concerns are common type 2 diabetes and new insulin preparations conditions that, once identified, can be easily for type 1 diabetes and insulin-requiring type 2 addressed without a referral to a dermatologist. diabetes will be presented. Participants will With the aid of an audience-response system, learn to identify the patient with fatty liver dis- faculty will engage participants in identifying ease as well as strategies for evaluation and many of these common dermatologic condi- management of this increasingly common tions and will review appropriate steps for their complication of the metabolic syndrome. 2 | annualmeeting.acponline.org
Pre-Courses (April 17-18) Learning Objectives: ment; using the target-specific anticoagulants; treating postoperative delirium; and challeng- 1. Discuss the management of patients with ing perioperative cases. prediabetes and whether metformin is the best treatment. Learning Objectives: 2. Identify patients with fatty liver disease, and 1. Understand the assessment and manage- how to diagnose and manage the patient ment of patients with medical comorbidities with type 2 diabetes. undergoing surgical procedures. 3. Review guideline-based medical options for 2. Review guidelines and best practices for pre- the management of patients with type 1 or operative assessment, perioperative medica- type 2 diabetes. tion use, and common postanesthesia care unit problems. 4. Discuss new insulin products and the indica- tions and contraindications for use in pa- 3. Review preoperative validated risk assess- tients with type 2 diabetes. ment tools, modification strategies, and management of patients with a variety of 5. Review indications and dosing of medica- pre- and postsurgery cardiac and pulmonary tions to aid weight loss in overweight indi- problems as well as complications in the frail viduals with or at risk for diabetes. elderly. 4. Understand management of the new dia- Perioperative Medicine 2018 betic agents, insulin pumps, and direct oral PRE 1803 Tuesday, 8:00 a.m.–5:00 p.m. anticoagulants (DOACs) in the perioperative Geno J. Merli, MD, MACP, FHM, FSVM period. Professor of Medicine & Surgery, Senior Vice President, 5. Assess key management strategies for neu- Associate CMO, Co-Director, Jefferson Vascular Center, rologic and neurosurgery patients taking an- Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA tiplatelet therapy requiring emergent surgery, postoperative pain management, This Pre-Course will review the assessment and and timing of surgery after acute stroke. management of patients with medical comor- bidities undergoing surgical procedures. Ex- pert faculty will discuss hypotension, delirium, Advances in Therapy and pain management in the postanesthesia PRE 1804 Wednesday, 8:00 a.m.–5:00 p.m. care unit. Venous thromboembolism (VTE) pro- phylaxis in the postoperative period for pa- Douglas S. Paauw, MD, MACP Professor of Medicine, Rathmann Family Foundation tients with hereditary or acquired coagulation Endowed Chair in Patient-Centered Clinical Education, disorders, history of recurrent VTE, and aspirin Department of Medicine, University of Washington dosing for VTE prophylaxis will be reviewed. School of Medicine, Seattle, WA Preoperative validated risk assessment tools, This Pre-Course will focus on pearls to help the modification strategies for identified comor- practicing internist to maximize the utility of bidities, and management of postoperative drug therapies. Newer medications and new complications will be emphasized. Topics will uses for older medications will be covered. Cur- include perioperative medication manage- rent recommendations for “best therapy” for ment; cardiac, pulmonary, and frailty risk different diseases will also be covered. Com- indices with modification strategies; postoper- mon side effects of medications will be empha- ative cardiac complications; diabetes manage- annualmeeting.acponline.org | 3
Pre-Courses (April 17-18) sized. Faculty will provide practical information fibrillation update, approach to the treatment on therapy for psychiatric disease, diabetes, of peripheral arterial disease, and discussion of and infectious diseases; safe use of medica- selected cases. tions in the elderly; and drug interactions. Learning Objectives: Learning Objectives: 1. Update the internist on the diagnostic and 1. Prescribe appropriate drug therapies for therapeutic approaches to the patient with diseases commonly seen in the office. known cardiovascular disease. 2. Understand safe drug prescribing in the 2. Become familiar with the guidelines and elderly. recent studies regarding hypertension, valvular heart disease, optimal blood pres- 3. Understand the use and appropriate place sure control, and care of the patient with of new diabetes therapies. cardiovascular disease having noncardiac 4. Gain a better understanding of drug reac- surgery. tions and interactions. 3. Understand approaches for decreasing the risk for complications and decreasing hospi- Cardiology for the Internist 2018: tal readmissions for patients with a variety of cardiovascular issues. The “Key Points” PRE 1805 Wednesday, 8:00 a.m.–5:00 p.m. 4. Become familiar with optimal surgical and pharmacologic treatments for the care of David L. Fischman, MD, FACP patients with acute coronary syndrome, Professor of Medicine, Department of Medicine, Division of Cardiology, Sidney Kimmel Medical College of Thomas heart failure, valvular heart disease, and Jefferson University, Philadelphia, PA atrial fibrillation. Howard H. Weitz, MD, MACP, FACC 5. Become familiar with the transition of care Bernard L. Segal Professor of Medicine, Director, Division following hospital discharge for patients with of Cardiology, Thomas Jefferson University Hospital, a variety of cardiac issues. Philadelphia, PA This Pre-Course will provide a focused update on the diagnostic, preventive, and therapeutic Hospital Medicine: From Admission approaches to the patient at risk for, or with to Discharge known, cardiovascular disease. Expert clinician- PRE 1806 Wednesday, 8:00 a.m.–5:00 p.m. educators will focus on the cardiovascular Steven B. Deitelzweig, MD, MMM, FACP, SFHM disease issues that internists most frequently Associate Professor of Medicine, Department of Hospital encounter and will provide “key points” to up- Medicine, Business Development, Ochsner Health date the audience and foster patient care. Sub- System, New Orleans, LA jects covered will include identification and Jamie Newman, MD, MHA, FACP management of acute and chronic coronary Associate Professor, Internal Medicine, Assistant artery disease, optimal treatment of acute and Professor, Health Care Management, Department of chronic heart failure, update in the treatment of Hospital Medicine, Mayo Clinic, Rochester, MN hypertension, risk assessment and risk reduc- Roger Yu, MD, Member tion for the patient with cardiac disease who Department of Medicine, Division of Hospital Medicine, undergoes noncardiac surgery, approach to Scripps Green Hospital, La Jolla, CA the patient with valvular heart disease, atrial 4 | annualmeeting.acponline.org
Pre-Courses (April 17-18) The hospital is a complex environment. Navi- them in this rapidly changing field of medicine. gating it on behalf of our patients requires a A broad view of the spectrum of neurologic broad and constantly growing body of clinical disorders seen in the practice of internal medi- knowledge combined with an understanding cine will be discussed, including the neuro- of the systems that support them. This Pre- logic history and examination, stroke, dizziness, Course will review the challenges of transitions topics in neuro-ophthalmology, seizures, and of care and handoffs, clinical conundrums of movement disorders. common and uncommon scenarios, and ad- Learning Objectives: ministrative hurdles. The faculty of experienced hospitalists and specialists from across the 1. Take a neurologic history, and perform a United States will discuss ideal medical man- competent neurologic examination. agement. First and foremost is the considera- 2. Recognize the major types of seizures and tion of the needs of the patient. Individual how to treat them. lectures will involve review of up-to-date med- ical care using a case-based format and an au- 3. Understand the spectrum of dizziness, and dience-response system. This Pre-Course will be able to make the likely diagnosis. present an advanced perspective of hospital 4. Recognize and treat the major movement medicine. disorders. Learning Objectives: 5. Examine the eyes, and recognize the major 1. Review inpatient management of complex neuro-ophthalmology problems. patients in case-based presentations. 6. Identify the major stroke emergencies, and 2. Explore practical considerations in transi- initiate appropriate therapy. tions of care and handoffs. 7. Recognize the major headache syndromes, 3. Succeed at adapting to new rules and regu- and initiate therapy. lations to better advocate for patients. 8. Identify the common disorders of the periph- 4. Highlight best practice for hospital safety. eral nervous system, and initiate treatment. Neurology for the Internist MACRA, MIPS, and APMs: Strategies PRE 1807 Wednesday, 8:00 a.m.–5:00 p.m. for Success Within the Quality Payment Program Martin A. Samuels, MD, MACP, DSc (Hon), FAAN, FRCP, FANA PRE 1808 Wednesday, 8:00 a.m.–5:00 p.m. Miriam Sydney Joseph Professor of Neurology, Harvard Peter Basch, MD, MACP Medical School; Department of Neurology, Brigham and Senior Director, Health IT Quality & Safety and National Women's Hospital, Boston, MA Health IT Policy, MedStar Health, Washington, DC Neurologic symptoms comprise an important Robert M. McLean, MD, FACP part of the practice of internal medicine, but Associate Clinical Professor, Yale School of Medicine, over the years exposure to formal neurologic Medical Director of Clinical Quality, Northeast Medical training as part of internal medicine training Group of the Yale New Haven Health System, New Haven, CT has waned. This Pre-Course is designed to help Beginning in 2019, the Medicare payment sys- internists approach the common neurologic tem will change. Physicians and practices need problems seen in their patients and to update to prepare now in order to be successful within annualmeeting.acponline.org | 5
Pre-Courses (April 17-18) the Quality Payment Program. With the elimina- the ACP Physician & Practice Timeline, to es- tion of the Sustainable Growth Rate (SGR), tablish best practices and lead to successful the new value-based payment program for outcomes within the Medicare Quality Pay- Medicare was designed with the goal of replac- ment Program. ing volume-based fee-for-service payment over time. Private payers also have moved in the direction of incentivizing higher quality rather QI Champion Training: Transforming than only the volume of services. Without a Your Practice to Improve Patient clear understanding of how care will be meas- Outcomes, Increase Efficiency, ured and paid for, physicians risk losing revenue Maximize Reimbursement, and and reputation. This course will help practices of Increase Joy in Practice all sizes understand this paradigm shift and how PRE 1809 Wednesday, 8:00 a.m.–5:00 p.m. to succeed in the new environment. Doron Schneider, MD, FACP Attendees will take a deep dive into under- Chief Safety and Quality Officer, Assistant Professor of standing the Quality Payment Program, includ- Medicine, Abington Hospital, Jefferson Health, ing how practices will be scored and paid in Abington, PA both the advanced Alternative Payment Mod- ACP's quality improvement champion training els (APMs) and Merit-Based Incentive Payment program aims to facilitate practice transforma- System (MIPS) pathways. The agenda will dis- tion to improve health and patient experience, cuss options and opportunities for current and reduce costs, and increase efficiency. Partici- future APMs, including an understanding of pants will be provided with proven and practi- MIPS APMs. On the MIPS side, attendees will cal tools to improve care for patients, promote learn practical strategies on how to select and patient engagement and partnerships, apply implement measures and activities best for practice redesign strategies to maximize skills their practices in order to maximize scores in of all team members, reduce administrative each category. The agenda will address strate- complexity and increase joy in practice, maxi- gies for all four MIPS categories—quality, mize reimbursement under new value-based improvement activities, advancing care payment models, and promote health equity information, and cost. among diverse patient populations. At the con- Who should attend: clinicians, medical direc- clusion of this Pre-Course, champions will be tors, CMOs, CMIOs, quality managers, adminis- able to apply QI strategies to tackle challenging trators, and any staff who administers the issues, such as caring for patients with chronic Quality Payment Program for a practice. illnesses, increasing adult immunizations, and promoting safe opioid prescribing. Hundreds Learning Objectives: of ACP members and care teams from 21 states 1. Understand the components of the new have become ACP QI champions and have es- Medicare Quality Payment Program, as well tablished an engaging peer-to-peer learning as the rules for participation. network and are experiencing significant im- 2. Identify strategies for your practice to be provements. This full-day course will launch you successful under this new program. on the journey of becoming an ACP QI cham- pion and will provide the skills you will need 3. Utilize available tools and resources from throughout your career to lead the way through ACP, including the Quality Payment Advisor, the changing tides of health care. Genesis Registry, ACP Practice Advisor, and 6 | annualmeeting.acponline.org
Pre-Courses (April 17-18) Learning Objectives: Topics discussed include acute coronary syn- dromes and myocardial infarction, acute con- 1. Understand the rationale for practice trans- gestive heart failure, atrial arrhythmia formation. management, acute stroke management, acute 2. Understand how to identify performance respiratory distress syndrome, pulmonary em- gaps and opportunities for improvement bolism, drug overdose, sepsis and septic while taking into account health disparities. shock, ischemic bowel and abdominal com- 3. Understand how to create change and im- partment syndrome, obstructive lung disease, provement using plan-do-study-act (PDSA) and severe pneumonia. Also discussed will be and other basic QI tools. the management of patients with a wide vari- ety of infectious diseases, approaches to men- 4. Understand how to partner with patients and tal status evaluation, blood product utilization, families in QI activities. mechanical ventilatory support of the critically 5. Understand how to develop a focused QI ill patient, surgical issues in the ICU, care of the workplan in an area of interest, such as adult cancer patient in the ICU, and methods for pre- immunization, safe opioid prescribing, dia- venting common complications in the critically betes, or atrial fibrillation. ill patient. 6. Understand how to best communicate your Learning Objectives: QI plan needs and goals with stakeholders at 1. Update the internist on common disorders the practice and leadership levels. and diseases encountered in the intensive 7. Understand how to effectively use ACP tools care unit. to drive QI and measure reporting, such as 2. Review the diagnostic techniques used in the Genesis Registry, ACP Practice Advisor, the management of the critically ill adult. Patient Education Resources, and Quality Payment Advisor. 3. Discuss recommendations for the manage- ment of common critical illnesses encoun- tered in the intensive care unit and strategies Critical Care Medicine 2018 for the prevention of complications of critical illness. PRE 1810 Tuesday and Wednesday, 8:00 a.m.–5:00 p.m. Robert A. Balk, MD, MACP, MCCM, FCCP J. Bailey Carter, MD Professor of Medicine, Director, Update in General Internal Medicine Division of Pulmonary, Critical Care, and Sleep Medicine, Rush Medical College, Rush University Medical Center, and MOC Exam Prep Chicago, IL PRE 1811 Tuesday and Wednesday, 8:00 a.m.–5:00 p.m. This Pre-Course will provide the opportunity to Marc J. Kahn, MD, MBA, MACP understand the principles of diagnosis and Peterman-Prosser Professor, Senior Associate Dean, management of common clinical problems Department of Medicine, Section of Hematology/ Medical Oncology, Tulane University School of Medicine, and conditions encountered in the intensive New Orleans, LA care unit. Particular attention will be placed on the recognition of disease process, acute man- Fred A. Lopez, MD, MACP agement of critical illness, and prevention of Richard Vial Professor and Vice Chair, Department of Medicine, Louisiana State University School of Medicine, complications of critical illness in the critically New Orleans, LA ill adult patient. annualmeeting.acponline.org | 7
Pre-Courses (April 17-18) This Pre-Course provides an update in internal rectly at the patient’s bedside and directs the medicine and preparation for an MOC exam. performance of procedures. Could this be a Taught by a faculty of clinician–educators, each deep vein thrombosis (DVT), or is there some an expert in his/her subspecialty, the course other cause for this swollen leg? Point-of-care uses a highly interactive format to engage par- ultrasound is proven by multiple studies as a ticipants. Clinical scenarios and challenging rapid and accurate evaluation and diagnosis of multiple-choice questions are springboards for DVT at the time of the evaluation. Multiple pro- discussion of recent advances across the spec- cedures, such as peripheral and central line trum of internal medicine. With the use of an placement, joint and tendon aspiration and audience-response system, participants can injection, thora/paracentesis and pericardio- compare their clinical judgment with that of centesis, along with others, benefit from ultra- their peers. This course is an effective way to sound guidance. update your knowledge and/or prepare for an Point-of-care echo is a quick way to estimate ABIM exam. ejection fraction and volume status, assess for Learning Objectives: severe structural changes, and rule out a peri- cardial effusion. Point-of-care abdominal 1. Increase and refresh knowledge of internal ultrasound is a rapid way to detect free air, gall- medicine through discussion of challenging bladder disease, and aortic disease. Additional cases frequently seen in practice. clinical questions ultrasound may help you an- 2. Become adept at working through difficult swer are: Is that a simple cellulitis or one com- exam-type questions logically and success- plicated by an underlying abscess that needs fully. drainage? How deep is the abscess? Can it be 3. Implement changes in clinical practice in drained safely in the office/bedside or the op- accordance with recent advances and erating room? Is that lump you palpate on guidelines. exam solid, cystic, or vascular? Hear lectures from national experts on point- of-care ultrasound and learn evidence-based Point-of-Care Ultrasound for approaches and techniques. Ample hands-on Internists and Hospitalists learning, guided by seasoned clinicians who PRE 1812 Tuesday and Wednesday, 8:00 a.m.–5:00 p.m. use ultrasound in their practices on a daily Michael Blaivas, MD, MBA, FAIUM, FACEP basis, will be augmented by simulation experi- Professor of Medicine, University of South Carolina, ence, including procedure practice on phan- Department of Emergency Medicine, Piedmont Newnan, toms, as well as amazing computer-based Columbia, SC simulation presenting actual patient pathology and allowing attendees to learn from real clini- Keith Boniface, MD cal scenarios. Professor of Emergency Medicine, Department of Emergency Medicine, George Washington University, If you have heard of other fields embracing Washington, DC ultrasound and how it improves their practice This Pre-Course will introduce the internist to and are interested in increasing efficiency and point-of-care ultrasound skills and applications safety in your own practice, this course is a that may be applied from the office to any hos- great place to start. pital setting to provide answers to specific clini- This 2-day course will offer topics of interest on cal questions in real time. Ultrasound allows both hospital- and office-based applications. the clinician a focused diagnostic modality di- 8 | annualmeeting.acponline.org
Pre-Courses (April 17-18) Learning Objectives: stress and positive psychology coaching to help colleagues and staff. The end of the day 1. Describe the principles of ultrasound opera- will focus on an appreciative inquiry process tion, use of artifacts, and optimization of im- for addressing and improving resiliency for the ages. individual in a variety of different practice set- 2. List indications and rationale for focused tings and best practices for positively influenc- diagnostic ultrasound applications for ing change within the work environment. cardiac, lung, and abdominal applications. Learning Objectives: 3. Perform and interpret focused diagnostic 1. Discuss stressors, risks, and symptoms of ultrasound for cardiac, lung, and abdominal physician burnout. applications. 2. Compare and contrast measures for assess- 4. Explain the rationale for using ultrasound ing burnout, resilience, and culture within guidance for thoracentesis, paracentesis, health care environments. and vascular access. 3. Apply aspects of positive psychology and 5. Perform ultrasound-guided thoracentesis, resilience in addressing physician well-being paracentesis, and vascular access using and professional satisfaction and reducing simulators. burnout. 6. Understand point-of-care ultrasound use for 4. List several systematic approaches to reduce focused musculoskeletal evaluation, joint burnout and promote well-being. injection, and arthrocentesis. 5. Develop and write intents to change for both individual and organizational approaches to Boost Your Well-Being and promoting physician well-being and profes- Professional Satisfaction at Home sional satisfaction. and Work: Practical Skills for Positive Results SAFE Opioid Prescribing: Strategies. PRE 1813 Wednesday, 8:00 a.m.-5:00 p.m. Assessment. Fundamentals. Charlene M. Dewey, MD, MEd, FACP Education. Professor of Medical Education and Administration, Professor of Medicine and Public Health, Department of PRE 1814 Wednesday, 1:30-5:30 p.m. Medical Education and Administration, Department of Director: Davoren Chick, MD, FACP Medicine, Vanderbilt University Medical Center, Nashville, TN There is no registration fee to attend this Pre- Course; however, preregistration is required. This Pre-Course will provide participants with the knowledge and practical skills to help them Attend this SAFE Opioid Prescribing Pre- improve their own well-being and professional Course to receive a training certificate in this satisfaction and those of their colleagues by important new area of patient care. Evaluation helping to create a supportive and fun work is essential today for safe and effective pain environment. Participants will discuss the epi- management when using extended-release demic of physician burnout and evidence- (ER) and long-acting (LA) opioids. It is critical to based solutions to improve both individual recognize best practices for how to start ther- well-being and organizational culture. Partici- apy with ER/LA opioids, how to end therapy, pants will practice skills to manage their own and what to do in between. Evidence-based annualmeeting.acponline.org | 9
Pre-Courses (April 17-18) tools are required for screening patients at risk Successful completion of this CME activity, and for monitoring for adherence to pre- which includes participation in the evaluation scribed ER/LA opioids. Proven methods to component, enables the participant to earn up counsel patients on ER/LA opioids and achieve to 3.5 MOC points and patient safety credit in positive outcomes need to be employed. Com- the American Board of Internal Medicine's prehensive information is also essential on (ABIM) Maintenance of Certification (MOC) ER/LA opioids as a drug class. Find out how to program. Participants will earn MOC points get the most clinical insights from specific equivalent to the amount of CME credits ER/LA product information sources. claimed for the activity. It is the CME activity provider’s responsibility to submit participant Learning Objectives: completion information to ACCME for the pur- 1. Identify risk factors for opioid-related aber- pose of granting ABIM MOC credit. rant behavior. This educational activity is supported by an 2. Differentiate among tolerance, physical de- independent educational grant from the Ex- pendence, and addiction. tended-Release/Long-Acting Opioid Analgesic 3. Evaluate and manage adverse effects of REMS Program Companies. Please see ER/LA opioids. http://ce.er-la-opioidrems.com/IwgCEUI/rems/ pdf/List_of_RPC_Companies.pdf for a listing 4. Differentiate strategies for monitoring pa- of REMS Program Companies. This activity tient adherence. is intended to be fully compliant with the 5. Assess the differences in opioid metabolism Extended-Release/Long-Acting Opioid Anal- and how these impact appropriate ER/LA gesics REMS education requirements issued prescribing. by the U.S. Food and Drug Administration. 6. Identify how opioid–drug interactions influ- ence ER/LA opioid prescribing. 10 | annualmeeting.acponline.org
CME Credit and MOC Points Internal Medicine Meeting 2018 Internal Medicine Meeting 2018: 30.5 MOC points Program Objectives Internal Medicine Meeting 2018 Pre-Courses: At the conclusion of Internal Medicine Meeting One-day Pre-Courses: 7 MOC points 2018, participants should be able to: Two-day Pre-Courses: 14 MOC points Half-day Pre-Courses: 3.5 MOC points Assess recent advances in clinical medicine and related sciences in light of the supporting evidence. The American Medical Association has determined that physicians not licensed in the United States who Implement changes in clinical practice in accor- participate in this CME activity are eligible for AMA dance with these advances to improve patient care. PRA Category 1 Credit(s)™. Improve their clinical skills in performing the The Royal College of Physicians and Surgeons of physical examination, communicating with Canada recognizes conferences and workshops held patients, and managing clinical information. outside of Canada that are developed by a university, Evaluate changes in the external practice envi- academy, hospital, specialty society, or college as au- ronment and their potential impact on medical tomatically approved as accredited group learning practice and patient care, and implement activities. improvements as needed. Attend Internal Medicine Meeting Continuing Medical Education (CME) 2018—Fulfill State CME Requirements Credit and ABIM Maintenance of Attending Internal Medicine Meeting 2018 is an Certification (MOC) Points excellent way to fulfill your state CME relicensure re- quirements. Internal Medicine Meeting 2018 meets The American College of Physicians (ACP) is accred- broad-based state CME requirements, as well as ited by the Accreditation Council for Continuing specific content requirements mandated by some Medical Education (ACCME) to provide continuing states (for example, ethics, pain management, and medical education (CME) for physicians. patient safety). Contact your state medical board for The ACP designates each live activity for the number information on specific requirements in your state. of AMA PRA Category 1 Credit(s)™ listed below. Physicians should claim only the credit commensurate How to Claim CME Credit and with the extent of their participation in the activity. MOC Points Internal Medicine Meeting 2018 Claim CME credit for your participation in Internal 30.5 AMA PRA Category 1 Credits™ Medicine Meeting 2018 and the Pre-Courses by completing your CME Documentation Forms online Internal Medicine Meeting 2018 at https://im2018.acponline.org/cme. Once you Pre-Courses have completed the online CME form, your tran- One-day Pre-Courses, 7 AMA PRA Category 1 Credits™ script will be accessible in 24 to 72 hours. Viewing Two-day Pre-Courses, 14 AMA PRA Category 1 Credits™ your transcript of College-sponsored CME activities Half-day Pre-Courses, 3.5 AMA PRA Category 1 Credits™ online is a benefit of ACP membership. Successful completion of these CME activities, which Earn MOC points equivalent to the amount of CME includes participation in the evaluation component, credits claimed by completing a brief Learner enables the participant to earn Medical Knowledge Assessment available online at https://im2018. MOC points in the American Board of Internal Medi- acponline.org/cme. The Learner Assessment cine's (ABIM) Maintenance of Certification (MOC) requires that you describe changes that you plan program as listed below. Participants will earn MOC to implement as a result of what you learned at the points equivalent to the amount of CME credits meeting. Responses should be meaningful, reflec- claimed for the activity. It is the CME activity tive statements with a minimum of 50 characters. provider's responsibility to submit participant completion information to ACCME for the purpose For more information about CME or MOC, contact of granting ABIM MOC credit. Member and Customer Service at 800-523-1546, ext. 2600 (M-F, 9:00 a.m.-5:00 p.m. ET). annualmeeting.acponline.org | 11
Scientific Program Sessions Cardiology Abnormal ECGs: Case-Based Identification and Therapies Life-Threatening ECGs Encountered in the Outpatient Setting Acute Coronary Syndromes: Nomenclature, Guidelines, and Drugs Multiple Small Feedings of the Mind: Cardiology, Diabetes, and Obesity & Nutrition Atrial Fibrillation in the Hospital: A Case-Based Approach The Orthostatic Outpatient Atrial Fibrillation: Drugs, Devices, and Ablation Preventive Cardiology: High-Value Risk Stratification Cardiac Murmurs: Benign or Serious? Syncope: The 24-Hour Hospital Work-up Common Conundrums in Venous Thromboembolism Update in Cardiology Evaluation of Cardiac Chest Pain and Management of Chronic Angina Valvular Heart Disease: Diagnosis and Management Heart Disease in Women Vascular Disease: Updated Management Heart Failure: Updated Management to Optimize Outcomes Who Should Be Hospitalized for Heart Failure and Why? Hypertension: Urgencies and Emergencies Career and Professionalism Annals of Internal Medicine: Recent Articles that Should Influence Practice, Policy, Meaningful Credential in a Fact-Free World: An Update from ABIM or Education Medical Reversal: When Best Practice Changes The Art of Observation and the Observation of Art Patient Priority Care: Transitioning from What’s the Matter with You to What Career Transitions: Traversing the On and Off Ramps Matters to You Coaching and Sponsorship: Two Secret Weapons for Success Presentation Skills for Physicians: Making Your Next Teaching Presentation Go Combatting Cognitive Bias: Improving Clinical Decision Making in Everyday Practice Better than Your Last Getting Paid: Navigating Your Career as a Woman in Medicine Promoting Physician Well-Being: Reducing the Burdens and Restoring the Purpose of Practice Heal Thyself: Improving Physician Wellness—Practical Applications of Wellness Techniques: Breathing, Meditation, and Laughter Targeting the 4th Aim: Improving Physician Wellness and Reducing Burnout in Practice and the Community Health Care as Collaboration: Using Patient–Physician Engagement to Bring Joy and Value to Your Patients, Your Practice, and You (or How I Learned to Stop Teaching Strategies to Change Culture to Optimize Professionalism and Team- Worrying and Love Engaged Patients) Based Care Infectious Diseases for the International Volunteer Where to Start with Medical Volunteering Interpreting the Medical Literature: Pearls and Pitfalls Why Engaging Patients Is Today’s Blockbuster Drug Learning to Avoid “Contextual Errors” When Planning Patient Care Clinical Pharmacology Antibiotic Stewardship and Infection Control: Latest Treatments and Management Managing Pain in the Hospital Challenges in Geriatric Medication Management: An Interactive, Case-Based Workshop Marijuana: Its Roles, Rewards, and Risks Clinical Triad: Periprocedural Management of Oral Anticoagulants: Medication Reconciliation When and How to Stop Most Important Drug Interactions and Side Effects for 2018 Diabetes: New Drugs and Recent Clinical Trials Multiple Small Feedings of the Mind: Pulmonology, Substance Abuse, and Psychiatry Direct Oral Anticoagulants: Minimizing Bleeding Risk, Managing Bleeding New Medications for Primary Care: An Update Implementing a Hospital Antibiotic Stewardship Program Outpatient Management of Opioid and Alcohol Use Disorders Integrating Pharmacist Co-management in Primary Care Proton Pump Inhibitors: Are the Risks Real? Lowering Rx Prices, Making Medications Affordable 12 | annualmeeting.acponline.org Preliminary Program—Subject to Change
Scientific Program Sessions Communication Skills Computer and Patient: Competition or Collaboration? Motivational Interviewing for the Busy Clinician Generational Communication Differences at Work Strategies for Improving Patients’ Adherence to BP Medications How to Talk to Your Patients about the Cost of Their Care Why Engaging Patients Is Today’s Blockbuster Drug Dermatology Clinical Pearls: Dermatology and Sexual Medicine Itchy Rashes and Gnarly Nails Cutaneous Manifestations of Systemic Diseases Early Career Physicians, Residents/Fellows ACP Innovation Challenge 2018: Re-imagining the Practice of Internal Medicine Prescribing Apps: An Interactive mHealth Workshop Climate Change and Disaster Medicine for the Internist Presentation Skills for Physicians: Making Your Next Teaching Presentation Coaching and Sponsorship: Two Secret Weapons for Success Go Better than Your Last Generational Communication Differences at Work Sustaining Your Quality Improvement Project Getting Paid: Navigating Your Career as a Woman in Medicine End-of-Life and Palliative Care Case Studies in End-of-Life Care in the Hospital Outpatient Palliative Care Endocrinology Diabetes Management in Older Adults: The Debate Continues Osteoporosis: Evaluation and Treatment Diabetes Management in the Hospitalized Patient Subclinical Thyroid Dysfunction Diabetes: New Drugs and Recent Clinical Trials Update in Endocrinology Multiple Small Feedings of the Mind: Cardiology, Diabetes, and Obesity & Nutrition Vitamin D Deficiency: When to Treat? Obesity Management: Lifestyle, Medicine, and Surgery Connect with Your Colleagues on Social Media Keep up with the latest news and information during Internal Medicine Meeting 2018. Connect with ACP on Twitter (follow ACP at twitter.com/acpinternists and use hashtag #im2018 during the meeting) and Facebook (facebook.com/acpinternists). Preliminary Program—Subject to Change annualmeeting.acponline.org | 13
Scientific Program Sessions Ethics and Health Policy 60 Minutes: Special Report on Hot Issues in Health Policy Lowering Rx Prices, Making Medications Affordable Ethics Role Play: Telemedicine Ethics Opportunities and Challenges Reimagining Quality Measurement and Accountability: How Physicians, Payers, Ethics Year in Review and Patients Propose to Fix a Broken System Exploring Mistreatment in the Vulnerable Elderly A Return to Bedside Medicine: Countering the Hidden Curriculum Gastroenterology and Hepatology Abnormal Liver Tests: What Do They Tell the Internist? Inpatient Management of the Patient with Cirrhosis Clinical Pearls: Gastroenterology and General Internal Medicine Multiple Small Feedings of the Mind: Cardiology, Diabetes, and Obesity & Nutrition Clinical Triad: Common Lower GI Diseases: Evolving Standards of Care Multiple Small Feedings of the Mind: Infectious Diseases, Gastroenterology, and Clostridium difficile: Appropriate Diagnosis, Treatment, and Innovative Therapies General Internal Medicine Dr. Ananda Prasad Lecture in Physiology: The Human Microbiome in Health Nonalcoholic Fatty Liver Disease: The 21st Century Epidemic in Liver Disease and Disease Obesity Management: Lifestyle, Medicine, and Surgery Food as Medicine: Nutrition to Prevent and Reverse Chronic Disease Proton Pump Inhibitors: Are the Risks Real? GI Bleeding: What Do the New Guidelines Recommend? Update in Gastroenterology and Hepatology GI Diseases and Food Allergies: How Are They Linked? Upper GI Problems We All See: What’s New? Hepatitis C: Routine Testing, Diagnosis, Treatment, and Cure Geriatric Medicine Assessing Older Drivers’ Safety: When Is It Time to Give Up the Keys? Exploring Mistreatment in the Vulnerable Elderly Caring for Vulnerable Patient Populations: A Joint Session of the American College Hazards of Hospitalization in the Elderly: Get Them Out of Bed and Moving of Physicians and the European Federation of Internal Medicine News You Can Use: Current Clinical Guidelines in Osteoporosis, Glycemic Control, & Chronic Hepatitis B Challenges in Geriatric Medication Management: An Interactive, Case-Based Workshop Osteoporosis: Evaluation and Treatment Delirium in the Hospitalized Patient Spinal Stenosis and the Aging Spine Dementia: Diagnosis and Management Update in Geriatric Medicine Diabetes Management in Older Adults: The Debate Continues Urinary Incontinence in the Elderly Clinical Pearls Thursday, Friday, and Saturday, 11:15 a.m.–12:45 p.m. Test your clinical acumen in these highly interactive, case-based sessions. Use audience- response keypads to answer challenging patient management questions faced in practice. Compare your critical thinking with that of your colleagues. As you work through cases, you’ll amass a rich collection of “pearls” that can be applied to patient care. 14 | annualmeeting.acponline.org Preliminary Program—Subject to Change
Scientific Program Sessions Health Information Technology Computer and Patient: Competition or Collaboration? Making the Electronic Health Record Work for You, Not Vice Versa Ethics Role Play: Telemedicine Ethics Opportunities and Challenges Prescribing Apps: An Interactive mHealth Workshop Health IT within MIPS: Advancing Care Information Wearables and Other Patient-Generated Data: Perils and Opportunities Hot Topics in Medical Informatics: What May Change Your Practice Tomorrow What Physicians Really Need from EHRs to Be Successful in a Value-Based World Looking Towards 2020: New Care Delivery Models Enabled by Existing and Near Future Technology Hematology Clinical Triad: Periprocedural Management of Oral Anticoagulants: Images in Hematology and Medical Oncology: A Picture Is Worth a Thousand When and How to Stop Words Common Conundrums in Venous Thromboembolism Is This M-Spike Important? Direct Oral Anticoagulants: Minimizing Bleeding Risk, Managing Bleeding Sports Hematology: Dopers and Hoaxers Hematologic and Oncologic Emergencies in the Hospital Transfusion in Sickle Cell Disease: More or Less? Hemolytic Anemia in the Clinic: When, Why, and How Update in Hematology Hospitalist Track See Hospital Medicine Track on pages 20-21. PechaKucha™ Friday, 4:30–5:30 p.m. PechaKucha™, Japanese for “chit-chat,” is an entertaining, fast-paced format in which five outstanding speakers are challenged to present the newest “hot-off-the press” cutting-edge medical information. Each speaker will have less than 7 minutes and will be limited to 20 slides that will automatically advance during their allotted time. Come join the excitement as we watch these outstanding speakers take on the PechaKucha™ challenge to finish their presentations before the gong signals time's up. Preliminary Program—Subject to Change annualmeeting.acponline.org | 15
Scientific Program Sessions Infectious Diseases Antibiotic Stewardship and Infection Control: Latest Treatments and Management Implementing Revenue-Positive and Time-Saving Adult Immunization in Clostridium difficile: Appropriate Diagnosis, Treatment, and Innovative Therapies Your Practice Community-Acquired Pneumonia in the Hospital Infectious Diseases for the International Volunteer Emerging Infectious Diseases The Latest Definition and Treatment of Sepsis Emerging Pathogens: What’s New? Multiple Small Feedings of the Mind: Infectious Diseases, Gastroenterology, Health Care–Associated Infections: CAUTI, VAP, HAP, CLABSI, C. diff and General Internal Medicine Hepatitis C: Routine Testing, Diagnosis, Treatment, and Cure News You Can Use: Current Clinical Guidelines in Osteoporosis, Glycemic Control, HIV/AIDS in the Hospital & Chronic Hepatitis B Immunization Update for Adolescents and Adults Update in Infectious Diseases Implementing a Hospital Antibiotic Stewardship Program Medical Practice Management ACP Innovation Challenge 2018: Re-imagining the Practice of Internal Medicine Making the Electronic Health Record Work for You, Not Vice Versa C. Wesley Eisele Lecture: Small Practice Transformation and Primary Care Payment Navigating Alternative Payment Models under MACRA: Opportunities for Models Subspecialists Health IT within MIPS: Advancing Care Information Outpatient Coding: Do It Right and Get Paid for What You Do Hospital Inpatient Coding: Thinking inside the Box Promoting Physician Well-Being: Reducing the Burdens and Restoring the Implementing Revenue-Positive and Time-Saving Adult Immunization in Your Practice Purpose of Practice Integrating Pharmacist Co-management in Primary Care The Provider as a Second Victim in Hospital Misadventures Looking Towards 2020: New Care Delivery Models Enabled by Existing and Team-Based Care: Making Interprofessional Practice Work in Primary Care Near Future Technology There Is No Place like Home: Why the Medical Home Is Here to Stay MACRA 101: Making the Most of Medicare Payment Using Your Clinical Data to Drive Quality Improvement and QPP Success MACRA 201: What Are You Being Measured On and Will You Measure Up? Medical Student Programs Finance 101 for Medical Students: Budgeting, Loans, and Repayment Strategies Mastering the Match (Note: This session is not designated for CME credit.) Stump the Professor Nephrology and Hypertension Acute Kidney Injury: Novel Risk Markers and Prophylaxis Proper Interpretation of Electrolytes in Moderate CKD: An Interactive, Case-Based Clinical Triad: Outpatient Management of Refractory Hypertension Discussion Hypertension: Urgencies and Emergencies Strategies for Improving Patients’ Adherence to BP Medications Management of Early CKD in Special Populations Update in Nephrology and Hypertension 16 | annualmeeting.acponline.org Preliminary Program—Subject to Change
Scientific Program Sessions Neurology Clinical Pearls: Neurology and Perioperative Medicine Neurology for the Internist: Headaches and Dizziness Common Sleep Disorders Stroke Update Delirium in the Hospitalized Patient Stroke: Outpatient Prevention and Subsequent Management Dementia: Diagnosis and Management Update in Neurology Oncology Beyond the Guidelines: How Would you Screen for Breast Cancer in this Woman Images in Hematology and Medical Oncology: A Picture Is Worth a Thousand Words with Dense Breasts? Multiple Small Feedings of the Mind: Infectious Diseases, Gastroenterology, Breast Cancer Follow-Up: Who, What, When and General Internal Medicine Clinical Triad: Women’s Cancers—Screening, Prevention, and Treatment Update in Oncology Hematologic and Oncologic Emergencies in the Hospital Ophthalmology and Otolaryngology Ophthalmology Cases for the Internist Patient Safety and Quality ACP Innovation Challenge 2018: Re-imagining the Practice of Internal Medicine Medication Reconciliation Antibiotic Stewardship and Infection Control: Latest Treatments and Management Patient Priority Care: Transitioning from What’s the Matter with You to What Ethics Role Play: Telemedicine Ethics Opportunities and Challenges Matters to You The Provider as a Second Victim in Hospital Misadventures Health Care as Collaboration: Using Patient–Physician Engagement to Bring Joy and Value to Your Patients, Your Practice, and You (or How I Learned to Reimagining Quality Measurement and Accountability: How Physicians, Payers, Stop Worrying and Love Engaged Patients) and Patients Propose to Fix a Broken System Health Care–Associated Infections: CAUTI, VAP, HAP, CLABSI, C. diff Strategies for Improving Patients’ Adherence to BP Medications Heart Failure: Updated Management to Optimize Outcomes Sustaining Your Quality Improvement Project Implementing a Hospital Antibiotic Stewardship Program Why Engaging Patients Is Today’s Blockbuster Drug Perioperative Medicine Clinical Pearls: Neurology and Perioperative Medicine Preoperative Evaluation Clinical Triad: Periprocedural Management of Oral Anticoagulants: When and How to Stop Psychiatry Autism in Adults: An Update Nicholas E. Davies Memorial Award Lecture Delirium in the Hospitalized Patient Outpatient Management of Opioid and Alcohol Use Disorders Dementia: Diagnosis and Management Psychiatry for the Non-psychiatrist: Depression, Anxiety, PTSD, and ADHD Multiple Small Feedings of the Mind: Pulmonology, Substance Abuse, and Psychiatry Substance Abuse Disorders in the Hospitalized Patient Preliminary Program—Subject to Change annualmeeting.acponline.org | 17
Scientific Program Sessions Pulmonary Diseases and Critical Care Approach to the Patient with Diffuse Parenchymal Lung Disease Community-Acquired Pneumonia in the Hospital Asthma and Rhinosinusitis: Treatment Options COPD Exacerbation: Guideline Recommendations and Prevention Better Evaluation of Pulmonary Nodules Multiple Small Feedings of the Mind: Pulmonology, Substance Abuse, and Psychiatry Case-Based Basic Inpatient Mechanical Ventilation News You Can Use: Current Clinical Guidelines in Osteoporosis, Glycemic Control, Chronic Cough: New Guidelines and Interventions for an Old Problem & Chronic Hepatitis B Common Conundrums in Venous Thromboembolism Pleural Effusions: Case Studies in Evaluation Common Sleep Disorders Update in Pulmonary and Critical Care Medicine Rheumatology and Allergy & Immunology The Athlete as Patient Osteoporosis: Evaluation and Treatment Co-management of Orthopedic Patients Practical Office Orthopedics for Primary Care Providers: The Knee Common Allergic Conditions Practical Office Orthopedics for Primary Care Providers: The Shoulder GI Diseases and Food Allergies: How Are They Linked? Practical Office Orthopedics: The Knee Immunization Update for Adolescents and Adults Rheumatoid Arthritis: Update on Therapies and Complications Implementing Revenue-Positive and Time-Saving Adult Immunization in Your Practice Spinal Stenosis and the Aging Spine Managing Fibromyalgia and Other Central Pain Syndromes Update in Rheumatology News You Can Use: Current Clinical Guidelines in Osteoporosis, Glycemic Control, & Chronic Hepatitis B Substance Abuse Multiple Small Feedings of the Mind: Pulmonology, Substance Abuse, and Psychiatry Substance Abuse Disorders in the Hospitalized Patient Outpatient Management of Opioid and Alcohol Use Disorders Download Handouts Handouts will be available to registered Internal Medicine Meeting 2018 attendees on the College Web site beginning March 19, 2018. The site will be updated as material is received from faculty. To view or download handouts as PDF documents, go to annualmeeting.acponline.org and click on the Educational Program tab. Printed handouts will be produced only for Pre-Courses. 18 | annualmeeting.acponline.org Preliminary Program—Subject to Change
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